Anaphylaxis to Kiwi Fruit and Related “Exotic” Items

Falliers, Constantine J.

doi:10.3109/02770908309114944

Cited by 22 publications

(10 citation statements)

References 2 publications

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“…The first reported case of kiwi fruit allergy was on a 53‐year‐old atopic woman who developed urticaria, wheeze and laryngeal oedema on handling the fruit (2). Since then there have been a number of reports of kiwi allergy in adults, mostly presenting with oral symptoms (3–8). In addition some of these individuals have had more generalized reactions including urticaria (4), vomiting (4, 7) respiratory compromise (6) and cardiovascular collapse (6).…”

Section: Clinical Characteristicsmentioning

confidence: 99%

“…Acute allergy to kiwi fruit was first described in 1981 (2) and there have since been reports of the allergy presenting with a wide range of symptoms from localized oral allergy syndrome (OAS) to life‐threatening anaphylaxis (3, 4–8). The association of kiwi fruit allergy with allergies to pollen and latex has been widely reported in recent years and cross‐reactivity has been confirmed by inhibition studies with birch pollen (9–12), timothy pollen (11), avocado (13, 14), banana (14), latex (13, 14) rye (15) and hazelnuts (15).…”

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confidence: 99%

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Kiwi fruit allergy: A review

Lucas

Lewis

Hourihane

2003

Pediatric Allergy Immunology

112

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Allergy to kiwi fruit was first described in 1981, and there have since been reports of the allergy presenting with a wide range of symptoms from localized oral allergy syndrome (OAS) to life-threatening anaphylaxis. The article reviews the available information concerning the clinical features of kiwi fruit allergy and the role of clinical investigations for diagnosis. Work identifying the major allergens in kiwi fruit has resulted in conflicting results, the possible reasons for which are discussed. The clinical associations of kiwi fruit allergy with allergies to pollens or latex are reviewed.

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Section: Clinical Characteristicsmentioning

confidence: 99%

mentioning

confidence: 99%

Kiwi fruit allergy: A review

Lucas

Lewis

Hourihane

2003

Pediatric Allergy Immunology

112

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“…The clinical symptoms range from oropharyngeal symptoms, such as swelling of the lips and tongue and itching in the mouth or throat (Vocks et al, , 1993Gall et al, 1990) to urticaria , contact urticaria (Fine, 1981;Veraldi & Schianchi-Veraldi, 1990), Quincke oedema (Gall et al, 1994), nausea, vomiting, diarrhoea (Vocks et al, , 1993Seifert et al, 1988) and even anaphylaxis (Falliers, 1983;Freye, 1989;Novembre et al, 1995). In contrast, little information is available about the allergens in kiwi fruit responsible for these reactions.…”

Section: Introductionmentioning

confidence: 99%

Characterization of allergens in kiwi fruit and detection of cross‐reactivities with allergens of birch pollen and related fruit allergens

Moller¹,

Paschke²,

Vieluf

et al. 1997

Food and Agricultural Immunology

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The sera of 29 patients who suffered from pollen-related food hypersensitivities and complained of allergic reactions to kiwi fruit and other tropical fruits were tested for specific IgE antibodies against kiwi fruit, apple, carrot, celery and birch pollen using an enzyme allergosorbent test (EAST). In 20 sera, specific IgE antibodies were detected against all five extracts. Sodium dodecyl sulphate polyacrylamide gel electrophoresis/ immunoblot of kiwi fruit extract revealed two major allergens with molecular weights of approximately 43 and 67 kDa. In EAST inhibition assays, cross-reactivities between kiwi fruit, apple, birch pollen and, to a lesser degree, carrot and celery were demonstrated. The cross-reactivities seen between kiwi fruit, birch pollen and apple were not caused by the major allergen of birch pollen (Bet v 1). Allergens with molecular weights of approximately 68 kDa in birch pollen and 67 kDa in apple cross-reacted with the allergens of kiwi fruit, as demonstrated by immunoblotinhibition. Profilins, which are known plant pan-allergens, do not seem to be relevant allergens in kiwi fruit.

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“…2,3 Symptoms of kiwifruit allergy vary from mild local symptoms in the oral cavity to severe systemic reactions. [4][5][6][7][8][9] Kiwifruit allergy can be the result of cross-reactivity with pollen and latex. [10][11][12][13][14] Although kiwifruit allergy is most frequently associated with birch and grass pollinosis, 12-14 monosensitization has also been reported, 8,15 suggesting primary sensitization to the fruit itself.…”

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confidence: 99%